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S-1 Plus Oxaliplatin Compared With Fluorouracil, Leucovorin Calcium Plus Oxaliplatin as Perioperative Chemotherapy for Advanced Gastric Carcinoma

Not Applicable
Completed
Conditions
Stomach Neoplasms
Interventions
Drug: S-1; Oxaliplatin; 5-Fu; Leucovorin Calcium
Registration Number
NCT01364376
Lead Sponsor
Zhejiang University
Brief Summary

This is a randomized multicenter controlled study of oxaliplatin, leucovorin calcium , plus 5-fluorouracil (FOLFOX) compared with S-1 plus oxaliplatin (SOX) as perioperative chemotherapy for advanced gastric cancer.

Hypothesis: SOX is not inferior to FOLFOX as perioperative chemotherapy for advanced gastric cancer.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
583
Inclusion Criteria
  • Histologically confirmed gastric adenocarcinoma,diagnosed as locally advanced gastric cancer and primary tumor invades or penetrates serosa
  • Ambulatory males or females, aged 18-80 years old
  • ECOG score 0-2
  • Given informed consent
  • Life expectancy more than 3 months
  • Measurable lesion
  • Normal cardiac, hepatic, renal, and bone marrow function(WBC:3.5×10^9/l~12×10^9/l;PLT:>100×109/l;Bil:<1.5 fold of upper limit value; ALT/AST:<2.5 fold of upper limit value;Ccr:>80ml/min;Cr:1.5mg/dl)
Exclusion Criteria
  • Prior stomach surgery
  • Previous cytotoxic chemotherapy, radiotherapy, target therapy or immunotherapy for any tumor
  • History of another malignancy except cured basal cell carcinoma of skin and cured carcinoma in-situ of uterine cervix
  • distant metastasis(such as No.16 and No.13 lymphnode,liver, lung,brain,bones or peritoneal metastasis)
  • Severe bleeding
  • Bowel obstruction, ileus or complete pyloric obstruction
  • Serious uncontrolled concomitant disease
  • History of myocardial infarction in 6 months
  • Woman with on-going pregnancy or breast-feeding, or contemplating pregnancy
  • Systemic treatment with corticosteroid
  • Patients judged inappropriate for the trial by the physicians

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
FOLFOXS-1; Oxaliplatin; 5-Fu; Leucovorin Calcium-
SOXS-1; Oxaliplatin; 5-Fu; Leucovorin Calcium-
Primary Outcome Measures
NameTimeMethod
overall survival3-year
Secondary Outcome Measures
NameTimeMethod
progression-free survival(PFS)3-year
clinical response6 or 12 weeks
pathological responsewithin 10 days after surgery
Number of Participants with grade 3/4 adverse Events6 Years

Trial Locations

Locations (8)

Jiaxing First Hospital

🇨🇳

Jiaxing, Zhejiang, China

Qilu Hospital of Shandong University

🇨🇳

Jinan, Shandong, China

Shandong Provincial Hospital

🇨🇳

Jinan, Shandong, China

Sir Run Run Shaw Hospital

🇨🇳

Hangzhou, Zhejiang, China

The First Affiliated Hospital of Medical School of Zhejiang University

🇨🇳

Hangzhou, Zhejiang, China

The Second Affiliated Hospital of Medical School of Zhejiang University

🇨🇳

Hangzhou, Zhejiang, China

Ningbo Medical Treatment Center Lihuili Hospital

🇨🇳

Ningbo, Zhejiang, China

The second affiliated hospital of Wenzhou medical college

🇨🇳

Wenzhou, Zhejiang, China

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